Isigaba umhlaza webele 4: inkcazelo, oonobangela, iimpawu, isifo kwaye afumane unyango neempawu

umhlaza webele sisifo esibi kakhulu. umhlaza webele isigaba 4 luphawulwa kukuba metastases kuvandlakanywa kuphela kuloo ndawo apho kukho ithumba, kodwa amalungu ezikufutshane. I-ALS ngayo esi sigulo ntle, amathuba yomguli ngayo bachache ngokupheleleyo sakugcina. Metastases ngokuqhelekileyo luchaphazela amathambo, imiphunga, isibindi.

Ukuze kwandiswe ixesha lokuphila umhlaza kwi seladlula kwisigaba, kuyimfuneko ukuba babuyele iindlela ezahlukeneyo zonyango somhlaza.

Wazi njani ukuba basengozini?

Kuba abanye abafazi, kukho ithuba enkulu yokuba izifo Oncology ibele. Oku izifo abafazi athambekele abaye utshintsho ukudumba kwi wesibeleko kunye zamaqanda. zisengozini enkulu yokuba nesifo ezinesifo wesibindi kunye yegazi. imikhwa emibi kuchaphazela imeko webele.

Abasetyhini izihlobo zabo olusenyongweni mathupha unomhlaza webele, ufanele ulumke kakhulu. Asimele silibale ukuba incum yimeko precancerous, ngoko ke kufuneka ngokukhawuleza ngayo.

Ziziphi iimeko kufuneka uqaphele?

Wazi njani ukuba unalo na umhlaza webele (ibakala lei-4)? Iimpawu kungabandakanya:

• Ukudinwa, ubuthathaka, imnyama.
• ubuhlungu obukhulu kwindawo bone le. Kulo kuyaphela mzekelo eqhubeka ngaphaya kwexesha kwaye chu kunyuka.
• Zingakwenza ukuba ube nesicefucefu.
• Utshintsho ubunzima (ilahleko ubunzima kakhulu).
• Kabi kwi hypochondrium.
• Ukuvela ukukhohlela olomeleleyo.
• Livela of migraine.

Indlela ukuqaphela ngezifo inkangeleko?

Ibhinqa uqaphele ezi mpawu zilandelayo ebuhlungu sifo:

1. Ingono ukutshintsha umbala uthabathe kwifom eyahlukileyo.
2. Amabele kwesikhumba nokudumba kwenzeka.
3. Ungakhetha ukufumana ithumba kwingingqi lwebele.

lokufunyaniswa kwesifo

umhlaza isigaba webele 4 - oku umgca phambili kakhulu kwesi sifo. Ukuze ukuba ukufikelela ukwimeko enjalo, amanyathelo othintelo kufuneka rhoqo wenziwe. esibaluleke lokunqanda yenza rhoqo self-lwebele: kufuneka kwenziwe oko phandle ngomhla 5-11 wasekwayo sexesheni.

ulwazi oluchanekileyo malunga nemeko yabo yempilo zingafunyanwa mammography. Le ndlela diagnostic ichanekile kakhulu kwaye elula.

Ukuze wenze ukuxilongwa, oko kuyimfuneko ukuqhuba X-ray, MRI, CT scan, scan ithambo. Xa isifo ibele Oncological, biopsy incum isebenza kwaye isigulane sithunyelwa ukuba uvavanyo lwegazi. Ukuba metastases abachatshazelwa isibindi okanye nemiphunga, kuyimfuneko ukwenza biopsy ezi amalungu.

Faka kunye Ductography: le ndlela lokubhaqa ngezifo kukuba yobisi waqalisa into olukhethekileyo umahluko.

Abafazi abangazange wayeneminyaka engama-40, kucetyiswa iimviwo ultrasound kwamadlala mammary. Ukuthembeka indlela diagnostic imalunga-70 ekhulwini. Ukuba ingcali kurhanelwa inkqubo yophuhliso ezonakele kwindawo esifubeni, oko esabela uhlalutyo ngasese, kukhululwa kwingono.

basinde abane

ubomi bhinqa utshintsho kakhulu xa wabeka uxilongo "umhlaza isigaba webele 4". Izinga basinde kwiminyaka yakutshanje liye landa kancinane, ngenxa yokuba kwiminyaka yakutshanje ishishini lamachiza uvelisa ezininzi amachiza ezisemgangathweni ukuze ukunyanga esi sifo, kukho iindlela ezintsha zonyango kwesi sifo. Ngenxa lo mfanekiso yaba kamnandi ngakumbi: Iminyaka eli-20 eyadlulayo, nabafazi abaphethwe kule fomu yesi sifo, akazange aphile ngonyaka.

Sekunjalo, okubuhlungu kukuba, oko kuyimfuneko kwangaphambili ukuba balungiselele imbi kakhulu: uninzi lwezigulane kufa kwisithuba seenyanga ezilishumi elinesibhozo ukususela kumhla kwesifo. Bangaphi abantu abaphila isigaba umhlaza webele-4? Kwakhona kuxhomekeke ekukwazini ephilayo ukuxhathisa iingxaki kunokwenzeka.

Ngokufuthi unobangela wokufa hayi thumba ngokwayo kunye iingxaki bubo. abafazi abaninzi ababulawa sesi sifo yesiqhelo zokuphefumla umzimba nomhlaza webele okwanamhlanje uyabachasa naluphi na usuleleko: besini ngobulungisa kunciphisa kakhulu nezifo.

10 Kuphela% ezigulane zihlala ngaphezu konyaka. Izalamane ezigulane kufuneka anonophele kunye ingqiqo: umfazi ufanele yafanelwa tirhisa kwiinyanga zokugqibela zobomi bakhe. Isigulane kufuneka ukhuselwe intlungu esikuyo, kuyimfuneko ukukhusela kusulelo kukuthi, ngoko kuyimfuneko ukuba lokuthintela utyelelo usapho. Ubunzima isigulane kufuneka kwakhona kubekw 'esweni ngenyameko: ngokuqhelekileyo izigulane kufa komzimba.

umhlaza webele (isigaba 4): Iimpawu kunye Treatment

Kwenzeka njani ukuba ukunyanga esi sifo? Injongo unyango kukuphucula kwimpilo-ntle yabafazi. Kuyimfuneko ukuthintela ukusasazeka ngakumbi metastases, ukuphungula impawo sifo. Ukhetho Indlela unyango kuxhomekeke zinto zilandelayo:

• Ubukho uvakalelo isigulane imiphumo hormone.
• umfanekiso ngamnye sifo (impumelelo kwezonyango izifundo zangaphambili).
• Ubudala isigulane.
• indawo Ukudlulela.
• imeko Jikelele mfazi.
• uluvo Personal isigulane kakhulu. Kubalulekile ukuqonda oko kubangela ukuba ufuna ukufezekisa.

Indlela ukunyanga umhlaza isigaba webele-4? Indlela engundoqo unyango lwe isifo - yinto unyango ngamachiza ezintsonkothileyo. Blood kufuneka zicocwe ezintweni eziyingozi. Ngokusebenzisa le nkqubo, imeko yesigulane ngcono kakhulu. ukutofelwa igazi kunokunceda igazi, kunciphise ukubalwa zegazi.

Xa izigulane ezininzi kukho ukunqongophala albumin, ekubeni isibindi uyehla na umhlaza webele. Kwezinye iimeko, isigulana akakwazi ukwenza ngaphandle kokusebenzisa labagula kakhulu.

Amaxesha amaninzi ukuhlinza ukususwa ilungu le, kuba ngaphandle uqhaqho akwenzeki ekunciphiseni ubungozi yonke umzimba.

iindlela kuhlinzwa unyango

Okwangoku, utyando isebenza kwaye, xa kwafunyaniswa ukuba unomhlaza webele (ibakala lei-4). Treatment sikuko yokuba nencum leyo isuswe. Le ndlela unyango phambili ekunyangeni isifo. Xa mastectomy kwezinye iimeko kukho Ukususwa isifuba nkovu iindawo kufutshane breastbone.

Injongo olukhulu resection zamacandelo zamabele - ukulondolozwa omzimba. Kulo msebenzi, waphinda yinxalenye izihlunu zesifuba, leyo ihlaselwe nethumba. Olu tyando kakuhle kakhulu, ekubeni kuyimfuneko ukuqeshwa radiotherapy.

Metastases ayaxakekisa kwi sifo, kwaye kwenzeka ukuba incum uchonge umhlaza isigaba 4. Metastases evela yobubi kwi nobubovu mammary, unako kukunikwa nge ichemotherapy. Oku kunciphisa ebukhulwini iimpawu. Inani leeseshoni chemotherapy emiselwe ngugqirha. I-avareji Ixesha ikhosi chemotherapy - hayi ngaphantsi kweentsuku ezingama-10.

okukwazi

Ukuze komelezwe umzimba, buthathaka ukusetyenziswa sifo immunotherapy. Oyenza isebenze zokuzikhusela zomzimba. Ngoko ke, prescribers, ukuphucula nezifo.

Rehabilitation isetyenziswa emva kotyando, ukusukela injongo nokuziqhelanisa yayo engqondweni yabafazi. uqhaqho seplastiki engenziwa ngokutsha esifubeni uma oyifunayo.

Indlela ukuze baphelise intlungu kakhulu?

Ukuba 'codeine "yaye" Tramadol "ngeedosi enkulu musa telela mizwa ebuhlungu, amisele iziyobisi enamandla ukususela ezidakumbisayo. Isigqibo sokuba ukusebenzisa kwabo kufuneka athathe thethwano zonyango.

Amaninzi, ukuba unesifo isigaba umhlaza webele 4, inokusetyenziswa "icaffeine". Kuhle ishenxisa uphawu iintlungu, kodwa eli chiza Izimo ezininzi. Xa umongo wayo, oko sisiyobisi esinamandla kwaye ibanga iziphumo ezininzi ebezingalindelekanga okungafunekiyo. Uye isiphumo esibi isixokelelwano sokuphefumla, kukwaphulwa izinga intliziyo, ngoko ngoxa ukuthatha eli yeza kucetyiswa ukusetyenziswa "Naloxone". Uya kuzisa isigulane zibuyele esiqhelweni, iziphumo ebezingalindelekanga kuba lula. "Icaffeine" ayiyekeki, ukuze ngamanye amaxesha kuya kufuneka ukwandisa umthamo. Ngoko ke, kufuneka isetyenziswe kwiimeko kakhulu xa intlungu nodandatheko.

Xa ukusetyenziswa ntlungu kunye nadlamkisayo kuyimfuneko ukusebenzisa amayeza, ekubeni isigaba umhlaza webele 4 ngcazela luvo. "Imipramine" iphucula isiphumo iintlungu of analgesics, luthoba luvo. Oku kuya kunciphisa ithamo iziyobisi ezidakumbisayo.

Ukuba ufumana intlungu inwebu ithambo umhlaza webele, isigulana yehlile ukutya, kufuneka ukuba isetyenziswe "Prednisolone".

Used in isigaba umhlaza 4 amayeza ezinxulumene neuroleptics ( "droperidol"). Yena nemiphumo emihle antiemetic, kuphucula impilo yabafazi.

unyango somhlaza webele aphesheya

KwaSirayeli, umgangatho ukhathalelo lwezonyango liphezulu. Xa iikliniki ezahlukeneyo kweli lizwe uyakwazi ukufumana unyango ezikumgangatho ophezulu. It iphatha yonke imisebenzi diagnostic ezifunekayo ukuze umhlaza webele. survey Ifumaneka kwi isixhobo mihla URUTE. KwaSirayeli, unako ukwenza biopsy zonke iintlobo, kuquka emoyeni kunye stereotactic.

Indlela esisiseko konyango komhlaza webele enze uqhaqho xesha lamva. Emva kokuba mastectomy (ukususwa nencum) ibe kufakwa implants amabele ezenziwe abicah. Isebenza kwaye intsimbi kwanciphisa kusetyenziswa yabafazi inyama yakhe.

Xa unyango entsonkothileyo zesi sifo lwenziwa ichemotherapy kunye radiotherapy. Babelwa nama- kunye namayeza unyango (iziyobisi "Herceptin").

Kuyimfuneko ukuba ithemba ilungileyo, ukuba une umhlaza webele (ibakala lei-4). Ipredikshini okusinda kuyakhuthaza, kuba malunga ne-10% ezigulane kuhlala kunye neyesine umhlaza isigaba webele malunga neminyaka emihlanu. Kufuneka usebenzise zonke iinketho unyango kunokwenzeka ukuba sifo.